Fistula Foundation arrives at an average cost for one surgery based on aggregate data from impact and financial reports received from partners we fund across Africa and Asia. Actual surgical costs vary depending on the local economies where our partners work. Costs for more complicated surgeries, such as treating dual vaginal and rectal fistula, can be greater. Learn more about the cost of care on
Fistula Foundation began as a fundraising organization for Hamlin Hospitals and is honored to have provided over $10 million USD in support of Hamlin. Today Fistula Foundation no longer solicits earmarked funds for Hamlin Hospitals, which now runs its own fundraising operations in the U.S., Hamlin Fistula USA. Hamlin Hospitals also has partner organizations in Australia, the UK, the Netherlands, Germany, Sweden, New Zealand and Japan.
We fund projects on an invitation-only basis, and we’re constantly on the lookout. We are in frequent conversation with our international network of surgeons and partner organizations.
We work fast, because it helps our partners more if they receive their funding quickly. Following a few protocol procedures including Board approval and the signing of a grant agreement, we usually are able to turn around and dispense funds in a few days time if needed.
This means that if dedicated surgeons in developing countries come to us for help, we can respond immediately. For example, when Dr. Denis Mukwege, founder of the Panzi Hospital, desperately needed funds after a major donor pulled out, we could respond in a heartbeat. Panzi Hospital remains the leading treatment center for victims of sexual violence in the Congo, including surgery treatment of fistulas.
We are committed to getting as much money as possible to our trusted partners in the field, because that’s where women’s lives are changed.
To ensure funding goes to the most respected local doctors and hospitals in Africa and Asia, Fistula Foundation issues grants on an invitation-only basis. Learn about our
Surgeons and hospitals that receive funding from Fistula Foundation are required to provide quarterly progress reports detailing their project activities and costs, surgical outcomes, and any challenges encountered. Fistula Foundation only releases funds once a partner’s report has been reviewed by our Medical Advisor and Program Development staff.
Wherever possible, we work to empower dedicated local doctors in developing countries. In addition to paying for the direct cost of surgeries, we fund activities that remove critical bottlenecks to treatment. These include the training of surgeons, the building of hospitals and operating rooms dedicated to fistula surgery, community outreach to let women know where they can get treated, and “mobile” fistula clinics to provide treatment in rural areas where no hospitals exist.
We also fund solutions targeted to the specific needs of a partner. For example, in Senegal, we funded a fleet of motorcycle ambulances to transport patients to care facilities over difficult terrain, while in Uganda, we funded the construction of a water tank to secure a source of clean water for surgery and recovery.
Learn more about our
We do our homework upfront and only invite funding requests from the very best hospitals and doctors, some of whom operate in the world’s toughest neighborhoods. We never lose sight of the fact that we’re not buying widgets—we’re selecting surgeons to perform intricate, vaginal surgery on horribly injured women. Cost is not the key variable; the quality and training of the medical team is.
We vet potential partners through a careful process that draws on the expertise of the Foundation’s Program Development team, Board of Directors, and Grants Review Committee. We also rely on our relationships with Direct Relief and an international network of fistula surgeons who help advise on the reputations of local doctors and the needs that exist in different regions.
There were a number of worthy approaches we could have pursued in the fight against fistula, including midwifery training, contraceptive provision, and eliminating child marriage. But one path—providing curative fistula surgery—stood out from these approaches with two clear advantages:
- the unmet need to treat women already injured with fistula is profound
- the marginal difference surgery can provide is truly life-changing.
This enormous return on investment is precisely why Fistula Foundation focuses solely on delivering fistula repair surgery. With each surgery we provide, we know that we’re helping change one woman’s world forever. And we know that the ripple effect of her restored health—on both her family and community—is profound. Learn more about
Fistula Foundation was founded in 2000 as an all volunteer organization to support the pioneering Addis Ababa Fistula Hospital in Ethiopia.
Our success between 2004 and 2008 enabled us to dramatically expand our mission in 2009 to fight fistula globally. As a result of this rapid expansion, we have now supported fistula treatment in 32 countries at sites on two continents, Africa and Asia. We fund more obstetric fistula surgeries globally than any other organization.
The average cost per patient is $586 USD. This includes surgery, postoperative care and physical rehabilitation. This price estimate is based on data reported to Fistula Foundation by our grantees across Africa and Asia. Costs and hospitalization can, however, be far greater for more complicated surgeries such as treating dual vaginal and rectal fistulas. You can learn more about how we determine the average cost of care on